Zhang W H
Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.
Zhonghua Zhong Liu Za Zhi. 1990 Nov;12(6):438-40.
From 1983 to 1988, colposcopic follow-up examination was done in 82 treated gynecologic tumor patients (68 cervical cancer, 7 vulval cancer and 7 other cancers) comprising 10% of all examined by colposcopy during the same period. Twenty-one cases were found to have recurrence or metastasis in the cervix, vagina or vulva proven by pathology. Ten of these 21 cases were initially diagnosed by colposcopy. The conformation rate between colposcopic examination and pathology was 85.7%. An accuracy of 86.7% was achieved by combination of cytology and colposcopy for recurrent tumors. The results suggest that tumor recurrence can be detected earlier by colposcopy than by clinical examination. Colposcopy combined with cytology as follow-up examination can improve the clinical diagnosis and treatment of treated patients.
1983年至1988年，对82例接受治疗的妇科肿瘤患者（68例宫颈癌、7例外阴癌和7例其他癌症）进行了阴道镜随访检查，占同期所有接受阴道镜检查患者的10%。经病理证实，21例患者在宫颈、阴道或外阴出现复发或转移。这21例中有10例最初是通过阴道镜诊断的。阴道镜检查与病理检查的符合率为85.7%。细胞学检查与阴道镜检查相结合对复发性肿瘤的诊断准确率为86.7%。结果表明，与临床检查相比，阴道镜检查能更早地发现肿瘤复发。阴道镜检查与细胞学检查相结合作为随访检查可改善对接受治疗患者的临床诊断和治疗。
